Individual
DR. DIANA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
80 BOWERY, SUITE 400, NEW YORK, NY 10013-4614
(212) 219-8182
Mailing address
115 CHAMBERS ST, NEW YORK, NY 10007-1001
(718) 730-4748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051245
NY
Other
Enumeration date
09/15/2007
Last updated
09/15/2007
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